Background
The burden on the individual, society and healthcare providers of low back pain in the western world is well documented. Globalisation and urbanisation, it has been reported, has led to an increase in low back pain in developing countries such as those situated in Sub-Saharan Africa. Low back pain determinants are framed, according to the individual, social and cultural context. The aim of this systematic review is determine the risk factors of low back pain in Nigeria and South Africa, whose growing and modernising economies operate alongside more traditional labour-intensive practices provide a comparison for modern-day Sub-Saharan Africa.
Method
A systematic review of literature was conducted, searching Embase, Medline, PubMed and Africa Index Medicus, from inception to November 2022. Owing to study heterogeneity a stratified synthesis was performed to analyse study data.
Results
Thirty-three studies were included. Their ability to demonstrate a cause and effect relationship between risk factor and low back pain is limited by study design. Overall, there is poor, moderate to good quality evidence of an association between sociodemographic, lifestyle, occupational and psychosocial risk factors and low back pain.
Conclusion
This review suggests common risk factors for low back pain exists in Nigerian and South African populations as they do in other countries. Rapid urbanisation and paucity in literature indicates future attention should focus on urban and rural community settings. Such efforts may assist in confirming common risk factors and prevalence of low back pain and other musculoskeletal conditions, initially in Nigeria and South Africa, and help contribute to relevant public health initiative prioritisation.
PROSPERO registration number: CRD 42023378363